How to increase value and reduce waste in research: initial experiences of applying Lean thinking and visual management in research leadership.

health policy health services administration & management statistics & research methods

Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
03 06 2022
Historique:
entrez: 24 1 2023
pubmed: 25 1 2023
medline: 26 1 2023
Statut: epublish

Résumé

Waste in research has been well documented, but initiatives to reduce it are scarce. Here, we share our initial experiences of implementing Lean thinking and visual management into hospital research units in the Region of Southern Denmark. A Transformation Guiding Team (TGT) anchored in the top management was established with participation from leaders, researchers and patient representatives. The role of the TGT was to implement Lean methods, considering patients as primary end-users of the research results. This is in line with an explicit decision on setting patient values first in clinical settings at participating hospitals. The leaders of the research units were instructed in Lean thinking and Lean methods during a five-module course focusing on increasing value and reducing waste in research production. Initial experiences were that Lean tools could create a patient-centred vision that through visual management could identify waste in work processes. Concerns were lack of evidence for using Lean methods in research leadership and that the model itself could be a time consumer. Some lessons learnt were that adding Lean tools in research leadership should not just provide increased research productivity, but also improve other important key performance indicators such as quality of research and patient-relevant results. We intend to evaluate the value of the initiative by follow-up research and publish the outcome of key behavioural and key performance indicators.

Identifiants

pubmed: 36691235
pii: bmjopen-2021-058179
doi: 10.1136/bmjopen-2021-058179
pmc: PMC9171225
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e058179

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Health Policy. 2020 Jun;124(6):615-627
pubmed: 32456781
Lancet. 2014 Jan 18;383(9913):267-76
pubmed: 24411647
Res Involv Engagem. 2020 Jan 06;6:1
pubmed: 31921443
BMJ Qual Saf. 2021 Jan;30(1):27-37
pubmed: 32217699
Lancet. 2014 Jan 11;383(9912):156-65
pubmed: 24411644
BMJ. 2017 Jun 20;357:j2973
pubmed: 28634227
PLoS One. 2014 Apr 15;9(4):e90076
pubmed: 24736460
Lancet. 2014 Jan 11;383(9912):166-75
pubmed: 24411645
Jt Comm J Qual Patient Saf. 2011 Sep;37(9):387-99
pubmed: 21995255
Lancet. 2014 Jan 11;383(9912):176-85
pubmed: 24411646
Eval Health Prof. 2019 Sep;42(3):366-390
pubmed: 29635950
Dan Med J. 2013 Mar;60(3):A4593
pubmed: 23484612
J Hosp Med. 2010 Jul-Aug;5(6):317-9
pubmed: 20803667
Int J Qual Health Care. 2016 Apr;28(2):150-65
pubmed: 26811118
Int J Qual Health Care. 2018 Oct 01;30(8):578-586
pubmed: 29648651
Health Res Policy Syst. 2019 Apr 8;17(1):37
pubmed: 30961621
Trials. 2019 Oct 28;20(1):613
pubmed: 31661029
Harv Bus Rev. 2005 Mar;83(3):58-68, 148
pubmed: 15768676
J Clin Epidemiol. 2020 May;121:81-90
pubmed: 32004673
Lancet. 2014 Jan 18;383(9913):257-66
pubmed: 24411650
BMJ. 1994 Jan 29;308(6924):283-4
pubmed: 8124111
Lancet. 2009 Jul 4;374(9683):86-9
pubmed: 19525005
BMJ Open. 2013 Oct 29;3(10):e003605
pubmed: 24171938

Auteurs

Malene Grubbe Hildebrandt (MG)

Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark Malene.grubbe.hildebrandt@rsyd.dk.

Kristian Kidholm (K)

Centre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark.

Jørgen Ejler Pedersen (JE)

Department of Quality and Patient Collaboration, Odense University Hospital, Odense, Denmark.

Mohammad Naghavi-Behzad (M)

Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark.

Torben Knudsen (T)

Department of Gastroenterology, Southwest Jutland Hospital, Esbjerg, Denmark.

Aleksander Krag (A)

Department of Gastroenterology, Odense University Hospital, Odense, Denmark.

Jesper Ryg (J)

Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark.

Oke Gerke (O)

Department of Nuclear Medicine, Odense University Hospital, Odense, Denmark.

Annmarie Touborg Lassen (AT)

Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.

Torkell Ellingsen (T)

Department of Rheumatology, Odense University Hospital, Odense, Denmark.

Henrik J Ditzel (HJ)

Oncology Research Unit, Department of Oncology, Odense University Hospital, Odense, Denmark.

Vibeke Andersen (V)

Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.

Annette Langhoff (A)

The Research Committee, Odense University Hospital, Odense, Denmark.

Gert Nielsen (G)

The Research Committee, Odense University Hospital, Odense, Denmark.

Tahir Masud (T)

Department of Geriatric, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Anna-Marie Bloch Münster (AB)

Department of Managment, Southwest Jutland Hospital, Esbjerg, Denmark.

Kirsten Kyvik (K)

Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.

Kim Brixen (K)

Board of Direction, Odense University Hospital, Odense, Denmark.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH